decisionhealth Newsletters, Answer Books - 2008 Issue 7 (July)
Answer_Book / Physician_Assistants / No_site_restrictions
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Article Overview
This article covers Medicare payment policy for physician assistant services, including how enrollment, employer billing relationships, and site-of-service rules affect reimbursement. It is aimed at coders, billers, compliance staff, and practices that work with physician assistant services under Medicare. The article also references related CMS guidance and a surgery-related modifier in the context of assistant-at-surgery billing.
Why This Topic Matters
Understanding these payment and enrollment distinctions helps practices avoid billing through inappropriate entities and recognize when Medicare payment rules differ based on where the service is furnished. It is especially relevant for organizations that employ or contract with physician assistants and need to align billing workflow with Medicare requirements.
What You Will Learn
- How Medicare payment relationships for physician assistant services are structured
- How employer and organizational setup can affect billing for physician assistant services
- How site of service can influence Medicare payment policy for physician assistant claims
- What related Medicare guidance is referenced in connection with these payment rules
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Compliance staff
- Physician assistant employers
- Revenue cycle professionals
Modifiers Discussed
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